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A client with cystic fibrosis (CF) presents with clubbed fingers during a routine examination. What should the nurse explain to the client regarding the significance of clubbing in CF?

"Clubbed fingers are a common cosmetic concern but do not indicate any medical issues in CF."

"Clubbing of the fingers can be a sign of advanced lung disease or decreased oxygen levels in CF."

"Clubbing occurs as a result of excessive sodium intake, which is often seen in CF patients."

"Clubbing is primarily associated with digestive problems in CF and does not affect the respiratory system."

Answer and Explanation

The Correct Answer is B

A) Incorrect. Clubbed fingers in CF can be more than a cosmetic concern and may indicate underlying medical issues.

B) Correct. Clubbing of the fingers can be associated with advanced lung disease or reduced oxygen levels in CF.

C) Incorrect. Clubbing is not related to excessive sodium intake in CF patients.

D) Incorrect. While CF can affect the digestive system, clubbing of the fingers is primarily associated with respiratory issues.

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Correct Answer is D

Explanation

A) Incorrect. If both parents are carriers, their child's risk of having CF is 25%, not 50%.

B) Incorrect. While the risk is increased, having two carrier parents does not guarantee that a child will have CF.

C) Incorrect. If both parents are carriers, their child can inherit two normal genes (no CF), one normal and one CF gene (carrier status), or two CF genes (CF).

D) Correct. When both parents are carriers, there is a 25% chance that their child will inherit two CF genes and have CF, a 50% chance of being a carrier, and a 25% chance of inheriting two normal genes (no CF).

A. Genetic testing B. Sweat chloride test C. Chest X-ray D. Pulmonary function test

Correct Answer is B

Explanation

A) Incorrect. Genetic testing can confirm CF but is not typically the initial diagnostic test used in infants with symptoms suggestive of CF.

B) Correct. The sweat chloride test is often used as the initial diagnostic test to assess for CF in infants who exhibit symptoms.

C) Incorrect. Chest X-rays may be used to assess lung changes in individuals with CF but are not typically the initial diagnostic test in infants.

D) Incorrect. Pulmonary function tests are used to evaluate lung function but are not typically the initial diagnostic test for CF in infants.

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A client with cystic fibrosis (CF) presents with clubbed fingers during a routine examination. What should the nurse explain to the client regarding the significance of clubbing in CF?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is educating a client about the inheritance pattern of cystic fibrosis (CF). What information should the nurse provide regarding the likelihood of a child developing CF if both parents are carriers?

Correct Answer is D

Explanation

A nurse is explaining the diagnostic process for cystic fibrosis (CF) to a client and their family. What initial diagnostic test is often used to assess CF in infants who exhibit symptoms suggestive of the condition?

Correct Answer is B

Explanation

A nurse is educating a client about the diagnostic evaluation of cystic fibrosis (CF). What test is commonly used to screen for CF in newborns shortly after birth?

A nurse is discussing nutritional management with a client who has cystic fibrosis (CF). What dietary recommendation should the nurse emphasize to optimize nutritional intake in individuals with CF?

A nurse is explaining the typical clinical manifestations of cystic fibrosis (CF) to a newly diagnosed adolescent client. Which symptom should the nurse emphasize as a hallmark of CF?

A nurse is caring for a pediatric client with cystic fibrosis. Which respiratory therapy technique should the nurse prioritize to help manage the client's condition?

A nurse is discussing the underlying genetic defect in cystic fibrosis (CF) with a client. Which of the following statements accurately describes the primary genetic abnormality in CF?

A nurse is educating a client with cystic fibrosis (CF) about potential complications of the disease. Which of the following should the nurse mention as a common complication of CF in adults?

A nurse is providing discharge instructions to the parents of a child with cystic fibrosis. Which statement by the parents indicates a need for further education?

A nurse is discussing the risk factors for cystic fibrosis (CF) with a client. Which statement accurately identifies a risk factor associated with CF?